Samuel A Southard, CRNA in Appleton, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Samuel A Southard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Appleton, Wisconsin. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Racine Anesthesia Services Llc and his current practice location is 1506 S Oneida St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 738-2000.

Samuel A Southard is licensed to practice in Wisconsin (license number 167874-30) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033561873.

Contact Information

	Samuel A Southard, CRNA
	1506 S Oneida St, Appleton, WI 54915-1305
	(920) 738-2000
	(920) 224-1706

Map and Direction

Provider's Profile

Full Name	Samuel A Southard
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	1506 S Oneida St, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel A Southard graduated from nursing school in 2016

NPI Data:

NPI Number: 1033561873
Provider Enumeration Date: 07/05/2016
Last Update Date: 07/05/2016

Medicare PECOS Information:

PECOS PAC ID: 3870881915
Enrollment ID: I20161005002388

Medical Identifiers

Medical identifiers for Samuel A Southard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033561873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	167874-30 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Ne Wisconsin - St Elizabeth Campus	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Racine Anesthesia Services Llc	8628103777	68

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel A Southard allows following entities to bill medicare on his behalf.

Entity Name	New Anesthesiology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629163894 PECOS PAC ID: 0547269078 Enrollment ID: O20061212000118

Entity Name	Racine Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel A Southard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samuel A Southard, CRNA Po Box 8031, Appleton, WI 54912-8031 Ph: (866) 313-0337	Samuel A Southard, CRNA 1506 S Oneida St, Appleton, WI 54915-1305 Ph: (920) 738-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Appleton, WI

Michael Poeschel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2109 E Capitol Dr Ste B, Appleton, WI 54911 Phone: 844-693-1483
Mark Garold Pontow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000
Angela M. Morey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101
Kevin M Hoeksema, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000
Ellen M Hambel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2611
Shad Winget, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101

Samuel A Southard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Appleton, WI